Heights University Hospital

All Charges

Charge

Type

Setting

Price

PRESSURE MONITORG INTRA-ABDOM

Facility

$378.00

Hospital Charge Code	270672456
Hospital Revenue Code	272
Min. Negotiated Rate	$56.70
Max. Negotiated Rate	$56.70
Rate for Payer: Qualcare PPO/HMO/WC	$56.70

PRESSURE MONITORG INTRA-ABDOM

Facility

$378.00

Hospital Charge Code	270672456
Hospital Revenue Code	272
Min. Negotiated Rate	$49.14
Max. Negotiated Rate	$189.00
Rate for Payer: Aetna Commercial	$113.40
Rate for Payer: Aetna Medicare Advantage	$113.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.39
Rate for Payer: Cigna Commercial	$189.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.14
Rate for Payer: Oxford Commercial	$189.00
Rate for Payer: Qualcare PPO/HMO/WC	$56.70
Rate for Payer: UnitedHealthcare Commercial	$189.00

PRESSURE MONITORING ACCY

Facility

$775.00

Hospital Charge Code	270687443
Hospital Revenue Code	272
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$116.25
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

PRESSURE MONITORING ACCY

Facility

$775.00

Hospital Charge Code	270687443
Hospital Revenue Code	272
Min. Negotiated Rate	$100.75
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$232.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.75
Rate for Payer: Oxford Commercial	$387.50
Rate for Payer: Qualcare PPO/HMO/WC	$116.25
Rate for Payer: UnitedHealthcare Commercial	$387.50

PRESSURE MONITOR NEEDLE SET***

Facility

$228.00

Hospital Charge Code	8004384
Hospital Revenue Code	272
Min. Negotiated Rate	$34.20
Max. Negotiated Rate	$34.20
Rate for Payer: Qualcare PPO/HMO/WC	$34.20

PRESSURE MONITOR NEEDLE SET***

Facility

$228.00

Hospital Charge Code	8004384
Hospital Revenue Code	272
Min. Negotiated Rate	$29.64
Max. Negotiated Rate	$114.00
Rate for Payer: Aetna Commercial	$68.40
Rate for Payer: Aetna Medicare Advantage	$68.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.14
Rate for Payer: Cigna Commercial	$114.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.64
Rate for Payer: Oxford Commercial	$114.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.20
Rate for Payer: UnitedHealthcare Commercial	$114.00

PRESSURE MONITOR SYRINGE

Facility

$935.00

Hospital Charge Code	270325447
Hospital Revenue Code	272
Min. Negotiated Rate	$140.25
Max. Negotiated Rate	$140.25
Rate for Payer: Qualcare PPO/HMO/WC	$140.25

PRESSURE MONITOR SYRINGE

Facility

$935.00

Hospital Charge Code	270325447
Hospital Revenue Code	272
Min. Negotiated Rate	$121.55
Max. Negotiated Rate	$467.50
Rate for Payer: Aetna Commercial	$280.50
Rate for Payer: Aetna Medicare Advantage	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.43
Rate for Payer: Cigna Commercial	$467.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.55
Rate for Payer: Oxford Commercial	$467.50
Rate for Payer: Qualcare PPO/HMO/WC	$140.25
Rate for Payer: UnitedHealthcare Commercial	$467.50

PRESTIGE (R) LP CERV DISC 5X16

Facility

$23,290.00

Service Code	HCPCS C1713
Hospital Charge Code	270704991
Hospital Revenue Code	278
Min. Negotiated Rate	$3,493.50
Max. Negotiated Rate	$5,636.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,658.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,636.18
Rate for Payer: Qualcare PPO/HMO/WC	$3,493.50

PRESTIGE (R) LP CERV DISC 5X16

Facility

$23,290.00

Service Code	HCPCS C1713
Hospital Charge Code	270704991
Hospital Revenue Code	278
Min. Negotiated Rate	$3,493.50
Max. Negotiated Rate	$11,645.00
Rate for Payer: Aetna Commercial	$6,987.00
Rate for Payer: Aetna Medicare Advantage	$6,987.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,938.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,938.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,658.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,938.95
Rate for Payer: Cigna Commercial	$11,645.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,636.18
Rate for Payer: Qualcare PPO/HMO/WC	$3,493.50

PRETREATMENT OF RBC FOR AB ID

Facility

$89.00

Service Code	HCPCS 86970
Hospital Charge Code	38471098
Hospital Revenue Code	300
Min. Negotiated Rate	$11.57
Max. Negotiated Rate	$140.48
Rate for Payer: Aetna Commercial	$26.70
Rate for Payer: Aetna Medicare Advantage	$26.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.70
Rate for Payer: Cigna Commercial	$140.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.57
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.35
Rate for Payer: UnitedHealthcare Commercial	$114.00

PRETREATMENT OF RBC FOR AB ID

Facility

$89.00

Service Code	HCPCS 86970
Hospital Charge Code	38471098
Hospital Revenue Code	300
Min. Negotiated Rate	$13.35
Max. Negotiated Rate	$13.35
Rate for Payer: Qualcare PPO/HMO/WC	$13.35

PRETREATMNT OF SERUM FOR AB ID

Facility

$149.00

Service Code	HCPCS 86975
Hospital Charge Code	38471099
Hospital Revenue Code	300
Min. Negotiated Rate	$17.77
Max. Negotiated Rate	$1,063.82
Rate for Payer: Aetna Commercial	$44.70
Rate for Payer: Aetna Medicare Advantage	$44.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.99
Rate for Payer: Cigna Commercial	$1,063.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.37
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.35
Rate for Payer: UnitedHealthcare Commercial	$114.00

PRETREATMNT OF SERUM FOR AB ID

Facility

$149.00

Service Code	HCPCS 86975
Hospital Charge Code	38471099
Hospital Revenue Code	300
Min. Negotiated Rate	$22.35
Max. Negotiated Rate	$22.35
Rate for Payer: Qualcare PPO/HMO/WC	$22.35

PRE TYPING DIRECT DONORS

Facility

$626.42

Service Code	HCPCS 86900
Hospital Charge Code	3100351
Hospital Revenue Code	300
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$316.85
Rate for Payer: Aetna Commercial	$9.69
Rate for Payer: Aetna Medicare Advantage	$2.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.96
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$1.50
Rate for Payer: Clover Medicare Advantage	$2.84
Rate for Payer: EmblemHealth Commercial	$8.97
Rate for Payer: Humana Medicare Advantage	$3.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.43
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.96
Rate for Payer: UnitedHealthcare Commercial	$114.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$2.99
Rate for Payer: Wellcare Ambetter Commercial-Exchange	$3.17
Rate for Payer: Wellcare Medicare Advantage	$2.99

PRE TYPING DIRECT DONORS

Facility

$626.42

Service Code	HCPCS 86900
Hospital Charge Code	3100351
Hospital Revenue Code	300
Min. Negotiated Rate	$93.96
Max. Negotiated Rate	$93.96
Rate for Payer: Qualcare PPO/HMO/WC	$93.96

PREVACID 15MG CAPS

Facility

$13.00

Hospital Charge Code	60635127
Hospital Revenue Code	250
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$6.50
Rate for Payer: Aetna Commercial	$3.90
Rate for Payer: Aetna Medicare Advantage	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.31
Rate for Payer: Cigna Commercial	$6.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.69
Rate for Payer: Oxford Commercial	$6.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.95
Rate for Payer: UnitedHealthcare Commercial	$6.50

PREVACID 15MG CAPS

Facility

$13.00

Hospital Charge Code	60635127
Hospital Revenue Code	250
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

PREVACID 30MG/50ML NS IVPB

Facility

$109.10

Hospital Charge Code	60629355
Hospital Revenue Code	250
Min. Negotiated Rate	$16.36
Max. Negotiated Rate	$16.36
Rate for Payer: Qualcare PPO/HMO/WC	$16.36

PREVACID 30MG/50ML NS IVPB

Facility

$109.10

Hospital Charge Code	60629355
Hospital Revenue Code	250
Min. Negotiated Rate	$14.18
Max. Negotiated Rate	$54.55
Rate for Payer: Aetna Commercial	$32.73
Rate for Payer: Aetna Medicare Advantage	$32.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.82
Rate for Payer: Cigna Commercial	$54.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.18
Rate for Payer: Oxford Commercial	$54.55
Rate for Payer: Qualcare PPO/HMO/WC	$16.36
Rate for Payer: UnitedHealthcare Commercial	$54.55

PREVACID 30MG CAPS

Facility

$18.00

Hospital Charge Code	60635126
Hospital Revenue Code	250
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

PREVACID 30MG CAPS

Facility

$18.00

Hospital Charge Code	60635126
Hospital Revenue Code	250
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$9.00
Rate for Payer: Aetna Commercial	$5.40
Rate for Payer: Aetna Medicare Advantage	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.59
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.34
Rate for Payer: Oxford Commercial	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.70
Rate for Payer: UnitedHealthcare Commercial	$9.00

PREVACID 3MG SOLUTAB

Facility

$17.00

Hospital Charge Code	60635574
Hospital Revenue Code	250
Min. Negotiated Rate	$2.21
Max. Negotiated Rate	$8.50
Rate for Payer: Aetna Commercial	$5.10
Rate for Payer: Aetna Medicare Advantage	$5.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.33
Rate for Payer: Cigna Commercial	$8.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.21
Rate for Payer: Oxford Commercial	$8.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.55
Rate for Payer: UnitedHealthcare Commercial	$8.50

PREVACID 3MG SOLUTAB

Facility

$17.00

Hospital Charge Code	60635574
Hospital Revenue Code	250
Min. Negotiated Rate	$2.55
Max. Negotiated Rate	$2.55
Rate for Payer: Qualcare PPO/HMO/WC	$2.55

PREVACID IV 30MG

Facility

$9.00

Hospital Charge Code	60635481
Hospital Revenue Code	250
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$4.50
Rate for Payer: Aetna Commercial	$2.70
Rate for Payer: Aetna Medicare Advantage	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.17
Rate for Payer: Oxford Commercial	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$4.50

Know your out-of-pocket cost for care.

All Charges